MERCY CLINIC CHILDREN'S SURGERY, LLC
NPI 1649349804
Surgery - Pediatric Surgery in St. Louis, MO

Active since November 06, 2006
621 S. NEW BALLAS ROAD, SUITE 6018-B, ST. LOUIS, MO 63141(314) 251-5940(314) 251-5813 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mercy Clinic Children's Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY CLINIC CHILDREN'S SURGERY, LLC (NPI 1649349804), doing business as Mercy Children's Surgery Associates, is a healthcare organization registered as a pediatric surgery in St. Louis, Missouri and active in the NPI registry since November 2006. The organization lists Kerry Dunger, Executive Director - Finance, as its authorized official.

NPPES Registry Identity

NPI1649349804
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameMERCY CLINIC CHILDREN'S SURGERY, LLC
Location Address621 S. NEW BALLAS ROAD, SUITE 6018-BSt. Louis, MO 63141-8274
Mailing Address621 S. New Ballas Road, Suite 6018-bSt. Louis, MO 63141-8274 · (314) 251-5940 · Fax (314) 251-5813
Fax(314) 251-5813
Organization SubpartYesParent: Mercy Clinic East Communities
Authorized OfficialKerry DungerExecutive Director - Finance · (314) 364-3707
Enumeration DateNovember 6, 2006
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1649349804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
621 S. NEW BALLAS ROAD, St. Louis, MO 63141

Other Names 1

Former Legal Business NameMercy Children's Surgery Associates

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Clinic Children's Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Mercy Clinic Children's Surgery, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

General Surgery4
Orthopedic Surgery4
Nurse Practitioner3

Clinicians, nearest first (11)

Orthopedic Surgery
NPI 1306802343
621 S NEW BALLAS RD STE 63B
Saint Louis, MO 63141
(314) 983-4700
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1669662714
621 S NEW BALLAS RD STE 483A
Saint Louis, MO 63141
(314) 251-5940
✔ PECOSSame address
Orthopedic Surgery
NPI 1528412491
621 S NEW BALLAS RD STE 63B
Saint Louis, MO 63141
(314) 966-0111
✔ PECOSSame address
General Surgery
NPI 1124393467
621 S NEW BALLAS RD STE 483A
Saint Louis, MO 63141
(314) 251-5940
✔ PECOSSame address
General Surgery
NPI 1740694215
621 S NEW BALLAS RD STE 483A
Saint Louis, MO 63141
(314) 251-5940
✔ PECOSSame address
General Surgery
NPI 1457430969
621 S NEW BALLAS RD SUITE 6018B
Saint Louis, MO 63141
(314) 251-5940
✔ PECOS1.5 mi
Orthopedic Surgery
NPI 1386681138
621 S NEW BALLAS RD SUITE 5015-B
Saint Louis, MO 63141
(314) 567-5850
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1770835332
621 S NEW BALLAS RD STE 63B
Saint Louis, MO 63141
(314) 251-3500
✔ PECOS1.5 mi
Nurse Practitioner
NPI 1770794869
621 S NEW BALLAS RD STE 63B
Saint Louis, MO 63141
(314) 966-0111
✔ PECOS1.5 mi
Nurse Practitioner
NPI 1295187987
621 S NEW BALLAS RD STE 63B
Saint Louis, MO 63141
(314) 251-3500
✔ PECOS✔ Accepts Medicare1.5 mi
Orthopedic Surgery
NPI 1689624140
2401 GILLHAM RD
Kansas City, MO 64108
(816) 234-3693
✔ PECOS✔ Accepts Medicare225 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercy Clinic Children's Surgery, LLC's NPI number?

The NPI number for Mercy Clinic Children's Surgery, LLC is 1649349804. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider was formerly known as Mercy Children's Surgery Associates.

Where is Mercy Clinic Children's Surgery, LLC located?

Mercy Clinic Children's Surgery, LLC is located at 621 S. New Ballas Road Suite 6018-B, St. Louis, MO 63141. The listed phone number is (314) 251-5940.

What is Mercy Clinic Children's Surgery, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Mercy Clinic Children's Surgery, LLC enrolled in Medicare?

Yes. Mercy Clinic Children's Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Clinic Children's Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Mercy Clinic Children's Surgery, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Surgery (4), Orthopedic Surgery (4) and Nurse Practitioner (3). Of these, 5 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercy Clinic Children's Surgery, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mercy Clinic Children's Surgery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mercy Clinic Children's Surgery, LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.